NCE PRACTICE TESTS|| 224
QUESTIONS AND ANSWERS
(GRADED A+)
The Canadian Association of Medical Records Librarians was established in:
a. 1947
c. 1929
b. 1962
d. 1942 - ANSWER-b
The patient record is necessary for:
b. data review, case research, legal needs
c. data review, quality review, case research
d. data review, quality review, legal needs
a. case research, quality review, legal needs - ANSWER-a
The CAML became a chartered organization under Consumer and Corporate Affairs
in:
a. 1979
b. 1949
d. 1976
c. 1942 - ANSWER-a
The CHRA changed its name to CHIMA in:
a. 2005
b. 2003
c. 2000
d. 1999 - ANSWER-a
The government is responsible for setting and administering national principles or
standards for the healthcare system through the:
b. Canada Health Act
c. Canadian Charter of Rights and Freedoms
d. Privacy Act
a. Public Hospitals Act - ANSWER-a
Acute care is received as an:
c. rehabilitative service
a. out-patient service
b. in-patient service
d. long term care service - ANSWER-a
The impetus for improving hospital health records began in the U.S. through the:
c. opening of the first incorporated hospital known as Pennsylvania Hospital
b. establishment of numerous hospital accreditation programs
d. creation of the American College of Surgeons (ACOS) hospital standardization
program
,a. organization of the American Health Information Management Association -
ANSWER-a
Access to reports based on protected health information within a healthcare facility
should be limited to employees who have a ___.
d. legitimate need for access
c. signed confidentiality agreement
b. password
a. report development program - ANSWER-a
If coders and abstractors do not meet their deadlines it could affect_____.
a. their paycheque
b. government funding to the hospital
c. comparison statistics with other hospitals
d. b & c - ANSWER-a
Many hospitals have implemented - as an interim step in the process of converting to
an electronic patient record.
c. microfiching
d. optical scanning
a. bar coding
b. microfilming - ANSWER-a
The terminal digit number filed first in the following T-4 series is:
a. 01-6324
b. 23-6324
d. 45-6323
c. 75-6323 - ANSWER-a
An oral consent is binding if it:
c. does not cause confusion
d. occurs only at the time of admission
b. has the signature of the patient
a. can be proven or corroborated - ANSWER-a
When decision makers have two or more equally favourable or unfavourable options
from which to choose, this is referred to as an ethical:
a. dilemma
b. issue
d. compromise
c. problem - ANSWER-a
Which would be considered a primary record?
b. utilization review committee minutes concerning patient Sally Smith
a. diagnostic index that contains ICD-10 codes on Sally Smith
c. Sally Smith's emergency department record dated January 1
d. emergency department log containing a January 1 entry for Sally Smith -
ANSWER-a
,The integrated health record format is identified by its:
c. organization of reports in strict chronological date order
d. standardized forms as recommended by the JCAHO
b. association of treatment and therapies with patient problems
a. arrangement according to the source of the information - ANSWER-a
Which of the following demonstrates the personal use of the health record?
b. accreditation Canada survey of 100 records, including that of Sally Smith
c. quality assurance study that contains information from Sally Smith's record
d. malpractice case brought to trial that includes Sally Smith's record as evidence
a. information from Sally Smith's recorded included in a hospital statistical report -
ANSWER-a
A rubber stamp of Dr. Day's signature is acceptable for use if:
c. Dr. Day signed a statement regarding its use; the statement is stored with the
facility's administration
a. it is stored in the health information department and is used only by Dr. Day
b. it is used by Dr. Day and her clinical staff because she gave them permission to
do so
d. it is utilized only by Dr. Day and the other physicians involved in her group
practice - ANSWER-a
Regulations about physician completion of health records are developed by the:
c. health care facility's governing body
b. acute care facility's medical staff
d. hospital's administrative offices
a. health information management department - ANSWER-a
The Master Patient Index should be kept
a. for 25 years
d. permanently
c. for 5 years
b. for 10 years - ANSWER-a
A final progress note may be substituted for a discharge summary when a (an):
c. obstetrical patient delivers a healthy female newborn in c-section
d. expected death of a terminal patient occurs within 48 hours of admission
b. circumcised newborn who develops an infection is discharged within 48 hours
a. patient's hospitalization is under 48 hours duration with minor problems -
ANSWER-a
The re-analysis of health records refers to:
d. computerized abstracting of health records after the provider has completed them
a. analysis after health providers have worked on records, but prior to permanent
filing
c. authentication of incomplete health records after initial analysis has been done
b. the assembly of the health record upon receipt from the facility's nursing units -
ANSWER-a
Reports that summarize administration of therapeutic radiation are documented:
, b. on a weekly basis, summarizing several radiation therapies
a. at the conclusion of the administration of each radiation therapy session
c. by the practitioner administering the radiation therapy, at least monthly
d. at the end of the therapeutic radiation treatment for the particular patient -
ANSWER-a
A post anesthesia evaluation is documented in the patient's record by the practitioner
administering the anesthetic:
a. immediately upon conclusion of the surgery
d. and authenticated by the patient's surgeon
b. within 24 hours after the surgery is performed
c. within 48 hours after the surgery is performed - ANSWER-a
The major advantages of a problem-oriented health record include all of the following
EXCEPT:
d. it allows physicians and others to follow the course of any one problem more
easily
a. it requires the attending physician to consider all of the patient's problems
b. it is easily accepted by physicians, nurses and allied health professionals
c. it clearly indicates the goals and methods of the physician in treating the patient -
ANSWER-a
With alphabetical filing, which of the following names would be filed first?
b. Steven Peter Jones
a. S. Peter Jones
c. Stephen Peter Jones
d. S. Jones - ANSWER-a
The term information implies the transformation of raw data into a ___ format.
d. recognizable
a. consistent
c. verbal
b. usable - ANSWER-a
The following three elements, patient name, postal code, and health card number,
are typical ___.
d. data monitors
a. data fields
b. data sources
c. aggregate data - ANSWER-a
The process of extracting elements of data from a source document and entering
them into an automated system is called ___.
c. method of approach
d. abstracting
a. a feeder system
b. a flow cycle - ANSWER-a
The written answers to questions an HR professional may be asked to provide for a
case are known as a(n):
QUESTIONS AND ANSWERS
(GRADED A+)
The Canadian Association of Medical Records Librarians was established in:
a. 1947
c. 1929
b. 1962
d. 1942 - ANSWER-b
The patient record is necessary for:
b. data review, case research, legal needs
c. data review, quality review, case research
d. data review, quality review, legal needs
a. case research, quality review, legal needs - ANSWER-a
The CAML became a chartered organization under Consumer and Corporate Affairs
in:
a. 1979
b. 1949
d. 1976
c. 1942 - ANSWER-a
The CHRA changed its name to CHIMA in:
a. 2005
b. 2003
c. 2000
d. 1999 - ANSWER-a
The government is responsible for setting and administering national principles or
standards for the healthcare system through the:
b. Canada Health Act
c. Canadian Charter of Rights and Freedoms
d. Privacy Act
a. Public Hospitals Act - ANSWER-a
Acute care is received as an:
c. rehabilitative service
a. out-patient service
b. in-patient service
d. long term care service - ANSWER-a
The impetus for improving hospital health records began in the U.S. through the:
c. opening of the first incorporated hospital known as Pennsylvania Hospital
b. establishment of numerous hospital accreditation programs
d. creation of the American College of Surgeons (ACOS) hospital standardization
program
,a. organization of the American Health Information Management Association -
ANSWER-a
Access to reports based on protected health information within a healthcare facility
should be limited to employees who have a ___.
d. legitimate need for access
c. signed confidentiality agreement
b. password
a. report development program - ANSWER-a
If coders and abstractors do not meet their deadlines it could affect_____.
a. their paycheque
b. government funding to the hospital
c. comparison statistics with other hospitals
d. b & c - ANSWER-a
Many hospitals have implemented - as an interim step in the process of converting to
an electronic patient record.
c. microfiching
d. optical scanning
a. bar coding
b. microfilming - ANSWER-a
The terminal digit number filed first in the following T-4 series is:
a. 01-6324
b. 23-6324
d. 45-6323
c. 75-6323 - ANSWER-a
An oral consent is binding if it:
c. does not cause confusion
d. occurs only at the time of admission
b. has the signature of the patient
a. can be proven or corroborated - ANSWER-a
When decision makers have two or more equally favourable or unfavourable options
from which to choose, this is referred to as an ethical:
a. dilemma
b. issue
d. compromise
c. problem - ANSWER-a
Which would be considered a primary record?
b. utilization review committee minutes concerning patient Sally Smith
a. diagnostic index that contains ICD-10 codes on Sally Smith
c. Sally Smith's emergency department record dated January 1
d. emergency department log containing a January 1 entry for Sally Smith -
ANSWER-a
,The integrated health record format is identified by its:
c. organization of reports in strict chronological date order
d. standardized forms as recommended by the JCAHO
b. association of treatment and therapies with patient problems
a. arrangement according to the source of the information - ANSWER-a
Which of the following demonstrates the personal use of the health record?
b. accreditation Canada survey of 100 records, including that of Sally Smith
c. quality assurance study that contains information from Sally Smith's record
d. malpractice case brought to trial that includes Sally Smith's record as evidence
a. information from Sally Smith's recorded included in a hospital statistical report -
ANSWER-a
A rubber stamp of Dr. Day's signature is acceptable for use if:
c. Dr. Day signed a statement regarding its use; the statement is stored with the
facility's administration
a. it is stored in the health information department and is used only by Dr. Day
b. it is used by Dr. Day and her clinical staff because she gave them permission to
do so
d. it is utilized only by Dr. Day and the other physicians involved in her group
practice - ANSWER-a
Regulations about physician completion of health records are developed by the:
c. health care facility's governing body
b. acute care facility's medical staff
d. hospital's administrative offices
a. health information management department - ANSWER-a
The Master Patient Index should be kept
a. for 25 years
d. permanently
c. for 5 years
b. for 10 years - ANSWER-a
A final progress note may be substituted for a discharge summary when a (an):
c. obstetrical patient delivers a healthy female newborn in c-section
d. expected death of a terminal patient occurs within 48 hours of admission
b. circumcised newborn who develops an infection is discharged within 48 hours
a. patient's hospitalization is under 48 hours duration with minor problems -
ANSWER-a
The re-analysis of health records refers to:
d. computerized abstracting of health records after the provider has completed them
a. analysis after health providers have worked on records, but prior to permanent
filing
c. authentication of incomplete health records after initial analysis has been done
b. the assembly of the health record upon receipt from the facility's nursing units -
ANSWER-a
Reports that summarize administration of therapeutic radiation are documented:
, b. on a weekly basis, summarizing several radiation therapies
a. at the conclusion of the administration of each radiation therapy session
c. by the practitioner administering the radiation therapy, at least monthly
d. at the end of the therapeutic radiation treatment for the particular patient -
ANSWER-a
A post anesthesia evaluation is documented in the patient's record by the practitioner
administering the anesthetic:
a. immediately upon conclusion of the surgery
d. and authenticated by the patient's surgeon
b. within 24 hours after the surgery is performed
c. within 48 hours after the surgery is performed - ANSWER-a
The major advantages of a problem-oriented health record include all of the following
EXCEPT:
d. it allows physicians and others to follow the course of any one problem more
easily
a. it requires the attending physician to consider all of the patient's problems
b. it is easily accepted by physicians, nurses and allied health professionals
c. it clearly indicates the goals and methods of the physician in treating the patient -
ANSWER-a
With alphabetical filing, which of the following names would be filed first?
b. Steven Peter Jones
a. S. Peter Jones
c. Stephen Peter Jones
d. S. Jones - ANSWER-a
The term information implies the transformation of raw data into a ___ format.
d. recognizable
a. consistent
c. verbal
b. usable - ANSWER-a
The following three elements, patient name, postal code, and health card number,
are typical ___.
d. data monitors
a. data fields
b. data sources
c. aggregate data - ANSWER-a
The process of extracting elements of data from a source document and entering
them into an automated system is called ___.
c. method of approach
d. abstracting
a. a feeder system
b. a flow cycle - ANSWER-a
The written answers to questions an HR professional may be asked to provide for a
case are known as a(n):
